Deck 9: The Therapist-Driven Protocol Program and the Role of the Respiratory Therapist

Question 1

Which of the following would be associated with the distal airway and alveolar weakening clinical scenario?
1) Depressed diaphragm on chest radiograph
2) Use of accessory muscles of inspiration
3) Rhonchi and wheezing
4) Increased PEFR

A) 1, 2
B) 1, 3
C) 1, 2, 3
D) 1, 3, 4

Answer 1

1, 2

Question 2

Which of the following protocols would be indicated when a patient with increased alveolar-capillary membrane thickening has increased opacity on the chest radiograph, bronchial breath sounds, and a dull percussion note?

A) Aerosolized medication protocol
B) Lung expansion protocol
C) Oxygen therapy protocol
D) Bronchopulmonary hygiene protocol

Answer 2

Lung expansion protocol

Question 3

When a patient has acute MI, which of the following protocols should the respiratory therapist initiate?

A) Hyperinflation therapy protocol
B) Oxygen therapy protocol
C) Bronchopulmonary hygiene therapy protocol
D) Aerosolized medication therapy protocol

Answer 3

Oxygen therapy protocol

Question 4

When performing a therapist-driven protocol (TDP), the severity assessment determines:

A) the frequency of performing a treatment modality.
B) the baseline dyspnea index.
C) the number of hospital days covered by the insurance carrier.
D) how urgently the physician wants the patient treated.

Question 5

Which of the following is (are) associated with the bronchospasm clinical scenario?
1) Increased airway resistance
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

A) 3
B) 1, 4
C) 2, 3
D) 1, 3, 4

Question 6

Which of the following is (are) associated with the alveolar consolidation clinical scenario?
1) Increased opacity on the chest radiograph
2) Decreased FRC
3) Bronchial breath sounds
4) Hyperresonant percussion note

A) 3
B) 2, 4
C) 1, 2, 3
D) 1, 2, 3, 4

Question 7

Postural drainage, percussion, and vibration are part of what TDP?

A) Lung expansion protocol
B) Bronchopulmonary hygiene therapy protocol
C) Aerosolized medication therapy protocol
D) Oxygen therapy protocol

Question 8

An obese patient had upper abdominal surgery 2 days earlier. He has a weak nonproductive cough and a pulse oximeter (SpO₂ ) reading of 84% on room air. Which therapist-driven protocol(s) should be implemented?
1) Bronchopulmonary hygiene therapy
2) Lung expansion
3) Oxygen therapy
4) Aerosolized medication therapy

A) 1
B) 3, 4
C) 2, 3
D) 1, 3, 4

Question 9

A TDP can be started after:

A) the nurse finishes his or her assessment.
B) the treatment option is selected.
C) a physician's order for the TDP is received.
D) authorization is received from the patient's insurance carrier.

Question 10

Which of the following pathophysiologic mechanisms would be expected in the excessive bronchial secretions clinical scenario?
1) Decreased ventilation/perfusion ratio
2) Increased airway resistance
3) Stimulation of the deflation reflex
4) Stimulation of the irritant reflex

A) 1, 2
B) 1, 4
C) 1, 2, 3
D) 1, 2, 4

Question 11

According to the aerosolized medication therapy protocol, the respiratory therapist may select medications from all of the following categories EXCEPT _____ agents.

A) antiinflammatory
B) sympathomimetic
C) parasympatholytic
D) antimicrobial